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Retinal structure and vessel density changes in cerebral small vessel disease
Dandan Wang1, Lina Wang2, Jinjin Wang3
1Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Frontiers in Neuroscience
|March 12, 2024
Summary
Cerebral small vessel disease (CSVD) is linked to reduced retinal vessel density and thickness. Superficial retinal capillary plexus (SRCP) density decreases with higher CSVD scores, indicating potential for retinal imaging in CSVD assessment.
Area of Science:
- Ophthalmology
- Neurology
- Medical Imaging
Background:
- Cerebral small vessel disease (CSVD) is gaining attention.
- Investigating retinal changes in CSVD patients is crucial.
Purpose of the Study:
- To explore retinal structure and vessel density alterations in individuals with CSVD.
- To analyze the relationship between specific retinal metrics and CSVD characteristics.
Main Methods:
- Utilized optical coherence tomography (OCT) and OCT angiography for retinal metrics.
- Collected data on CSVD characteristics.
- Employed logistic and linear regression analyses to determine associations.
Main Results:
- CSVD patients exhibited lower superficial retinal capillary plexus (SRCP) vessel density, foveal density-300 length (FD-300), and retinal thickness.
- SRCP vessel density significantly decreased with increasing CSVD scores.
- Reduced SRCP and FD-300 were observed in patients with lacunar infarctions and white matter hyperintensities.
Conclusions:
- Retinal metrics like SRCP, FD-300, and retinal thickness are associated with CSVD occurrence and severity.
- Retinal imaging presents a potential avenue for future CSVD research and assessment.

